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UROLOGY ASSOC OF PORT HURON P.C. NPI 1790705572


NPI Information

NPI: 1790705572
Provider Name: UROLOGY ASSOC OF PORT HURON, P.C.
Classification: Urology - 208800000X
Entity Type: Organization
Address:
1037 WATER ST
SUITE 1
PORT HURON, MI
ZIP 48060
Phone: (810) 984-4194
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UROLOGY ASSOC OF PORT HURON, P.C. is an urology in Port Huron, MI. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. UROLOGY ASSOC OF PORT HURON, P.C. NPI is 1790705572. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1037 WATER ST
SUITE 1
PORT HURON, MI
ZIP 48060-408
Phone: (810) 984-4194
Fax: (810) 984-4674

The provider's authorized official is Doris J Adair .
The authorized official title is Practice Administrator and has the following contact phone number (810) 984-4194.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 1/20/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyMICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10846450001MEDICARE NSCMICHIGAN
2CE4150MEDICARE PINMICHIGAN
30N87370MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
40G41055OTHERMICHIGANBLUE CROSS GROUP ID
5540G41006OTHERMICHIGANBLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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